PMID- 21347559 OWN - NLM STAT- MEDLINE DCOM- 20111013 LR - 20211020 IS - 1573-2568 (Electronic) IS - 0163-2116 (Linking) VI - 56 IP - 8 DP - 2011 Aug TI - Acute pancreatitis in obesity: adipokines and dietary fish oil. PG - 2318-25 LID - 10.1007/s10620-011-1626-x [doi] AB - BACKGROUND: Acute pancreatitis is a substantial clinical problem accounting for 240,000 hospital admissions yearly in the United States. Obesity is epidemic and is clearly an independent risk factor for increased severity of acute pancreatitis (AP). Adipose tissue is an endocrine organ that secretes a variety of metabolically active substances termed adipokines. However, the role of adipokines in modulating acute pancreatitis severity remains incompletely understood. Dietary fish oil is rich in omega-3 free fatty acids and attenuates adipose tissue-induced inflammation. Therefore, we hypothesized that feeding obese mice diets rich in fish oil would alter the adipokine milieu and attenuate the severity of pancreatitis. METHODS: Lean (C57BL/6 J) and obese (LepDb) mice were fed either a soybean oil- or fish oil-rich diet for 4 weeks. AP was induced by six hourly intraperitoneal injections of cerulein (50 mug/kg). Serum adipokine levels were measured, and pancreatitis severity was assessed histologically and by measuring pancreatic concentrations of interleukin-1 beta (IL-1beta), interleukin-6 (IL-6), myleoperoxidase (MPO), and monocyte chemoattractant protein-1 (MCP-1). RESULTS: Obese mice developed more severe pancreatitis than lean mice. Fish oil significantly decreased serum leptin (lean and obese) and increased serum adiponectin (lean only). Fish oil did not alter the baseline pancreatic inflammatory milieu, nor did it change histologic or biochemical pancreatitis severity. CONCLUSION: These data demonstrate that a diet rich in fish oil altered the adipokine milieu in lean and congenitally obese mice; however, fish oil did not improve pancreatitis severity induced with cerulein hyperstimulation. FAU - Al-Azzawi, Hayder H AU - Al-Azzawi HH AD - Department of Surgery, Indiana University School of Medicine, 535 Barnhill Drive, RT 130, Indianapolis, IN 46202, USA. FAU - Wade, Terence E AU - Wade TE FAU - Swartz-Basile, Deborah A AU - Swartz-Basile DA FAU - Wang, Sue AU - Wang S FAU - Pitt, Henry A AU - Pitt HA FAU - Zyromski, Nicholas J AU - Zyromski NJ LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110224 PL - United States TA - Dig Dis Sci JT - Digestive diseases and sciences JID - 7902782 RN - 0 (Adipokines) RN - 0 (Adiponectin) RN - 0 (Ccl2 protein, mouse) RN - 0 (Chemokine CCL2) RN - 0 (Dietary Fats, Unsaturated) RN - 0 (Fish Oils) RN - 0 (Interleukin-1beta) RN - 0 (Interleukin-6) RN - 0 (Leptin) RN - 53608-75-6 (Pancrelipase) RN - 8001-22-7 (Soybean Oil) RN - 888Y08971B (Ceruletide) RN - EC 1.11.1.7 (Peroxidase) SB - IM MH - Adipokines/*blood MH - Adiponectin/blood MH - Animals MH - Ceruletide/adverse effects MH - Chemokine CCL2/blood MH - Dietary Fats, Unsaturated/*administration & dosage/metabolism MH - Female MH - Fish Oils/*administration & dosage/metabolism MH - Interleukin-1beta/blood MH - Interleukin-6/blood MH - Leptin/blood MH - Mice MH - Mice, Inbred C57BL MH - Obesity/*complications MH - Pancreatitis/*diet therapy/*etiology MH - Pancrelipase/chemistry MH - Peroxidase/blood MH - Severity of Illness Index MH - Soybean Oil/administration & dosage/metabolism EDAT- 2011/02/25 06:00 MHDA- 2011/10/14 06:00 CRDT- 2011/02/25 06:00 PHST- 2010/12/21 00:00 [received] PHST- 2011/02/07 00:00 [accepted] PHST- 2011/02/25 06:00 [entrez] PHST- 2011/02/25 06:00 [pubmed] PHST- 2011/10/14 06:00 [medline] AID - 10.1007/s10620-011-1626-x [doi] PST - ppublish SO - Dig Dis Sci. 2011 Aug;56(8):2318-25. doi: 10.1007/s10620-011-1626-x. Epub 2011 Feb 24.